ERIN LEA CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239310

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

LEA

Last Name

CLARK

Business Name

ERIN LEA CLARK

Original Issue Date

02/02/2016

Effective Date

02/02/2016

Expiration Date

03/31/2017

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2017